health, food sovereignty and partnerships · A randomized controlled trial (RCT) on the health...
Transcript of health, food sovereignty and partnerships · A randomized controlled trial (RCT) on the health...
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A randomized controlled trial (RCT) on the health impacts of gardens with Wind River Indian Reservation
2015-2020 NIH grant no. R01 HL126666-01
health, food sovereignty and partnerships
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Blue Mountain Associates: James “Jim” Sutter, Dr. Virginia Sutter & Etheleen Potter (Gardening)
Wind River Development Fund: Etheleen Potter (Recruit and support families)
Eastern Shoshone Tribal Health: David Meyers & Naomi Bell Harris (Recruit and support families)
University of Wyoming: Christine Porter, Melvin Arthur & Alyssa Wechsler (Data)
with 100 Eastern Shoshone & Northern Arapaho families (Garden now or wait, share outcomes)
& members of the Community Advisory Board (Insight, oversight, and support)
Who we are, who is here today, (& what we do)
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Context
Melvin Arthur, 2015, from Restorying the Northern Arapaho Food System thesis Water rights 2.2 million acres About 15,000 people
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Growing resilience project origins
2011-2016
2011-2016
Jim Sutter & Dr. Virginia Sutter of Blue Mountain Associates in WRIR
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Growing resilience co-design and pilot
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The “real thing” RCT over five years
Establish, evaluate, and sustain home food
gardening as a health intervention
Expand public health relationships
Assess adult and child BMI outcomes
together
1. Establish a sustainable, scalable, culturally appropriate home garden intervention
2. Identify health impacts of home gardening in Native American Families via RCT
Objectives Aims Supporting home
gardens with tribal families will become a culturally relevant and
empowering health promotion strategy for
tackling health disparities
Rationale
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Recruiting 100 families in 3 waves over 3 years.
With each wave…
Dec: Recruit, screen and enroll families Jan: Randomize to garden or delay 2 years Jan: 1st health data gathering with all families May: New summer gardens with half the families Aug: 2nd health data gathering Jan: 3rd health data gathering May: Renewed gardens for 2nd season Aug: 4th (and last?) health data gathering Following May: New gardens with other half of families + $200 garden gift card in their second year
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Setting up for data gathering 6:00am
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Health outcome measures: taken twice a year for two years
Biometric Blood-Based Survey-Based Adults • BMI
• Waist circumference
• Blood pressure • Hand strength
• Full 32-level chemistry profile
• Hemoglobin A1C (diabetes)
• Vitamin D (sun exposure) • Serum beta carotene
(vegetable consumption)
• Food security • Physical & mental
wellness (SF-12) • Health management • Physical activity • Vegetable intake
management • Medications and
supplements Children • BMI
• Waist circumference
• Hemoglobin A1C via finger prick N/A
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Data passport
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Baseline BMI data from first 60 families in our first two waves
10%
31%
26%
17%
16%
Adult BMI at enrollment (117 adults)
Normal
Overweight
Obese Class I
Obese Class II
Obese Class III
1%
50%
14%
35%
Child BMI for age (z scores) at enrollment (96 children)
UnderweightNormalOverweightObese
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Working for health with 60 families so far, with 40 more to come
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Recruiting, supporting and scheduling families
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January 2016 December 2016
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Gardening!
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Gardening!
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Using two ears and one mouth
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Randomly asking people to wait two years for their gardens
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Relationships at core of research
Aim 1: Gardening Intervention
Blue Mountain Associates • Garden design and
installation • Training and mentorship • Tool library
Community Advisory Board
Aim 2: RCT on health impacts of home gardens
University of Wyoming • Survey design and
administration • Data management and
analysis • Randomization • LMS z-curve • Medication change analysis
ESTH and WRDF Family recruitment and retention WY Health Fairs • Collect biometric
and blood data • Individual health
reports
“Research is a ceremony… The purpose of any ceremony is to build stronger relationships or bridge the distance between our cosmos and us.” Wilson 2008: 137
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[email protected] www.growingresilince.org
Thanks to National Institutes of Health (NHLBI with NIGMS) grant no. R01 HL126666-01, the “control” families who are waiting to garden, the families who are gardening, the organizational partners, and to all of you.
health, food sovereignty and partnerships